Does the duration matter? Effect of cochlear implantation on language development in Mandarin-speaking children with hearing loss.

IF 1.4 Q2 OTORHINOLARYNGOLOGY

COCHLEAR IMPLANTS INTERNATIONAL Pub Date : 2023-07-01 DOI:10.1080/14670100.2023.2194052

Tang Zhi Lim, Pei-Hua Chen

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引用次数: 0

Abstract

Objective: Several studies have shown that cochlear implantation (CI) can influence language development in children with severe-to-profound hearing loss. However, whether the age of implantation and duration of CI use influence language development remains unclear, particularly in Mandarin-speaking children with hearing loss. Therefore, this study investigated the effects of CI-related variables on language development in these children.

Methods: The present study recruited 133 Mandarin-speaking children with hearing loss, aged between 36 and 71 months chronologically, from a nonprofit organisation in Taiwan. The Revised Preschool Language Assessment (RPLA) was used to evaluate the children's language performance.

Results: Children with hearing loss demonstrated delayed language comprehension and oral expression. Among them, 34% achieved age-appropriate language development. The duration of CI use had a significant direct effect on language-related abilities. Conversely, the age of implantation did not have a significant direct effect. Furthermore, the age of initial interventions (auditory-oral) had a significant direct effect only on language comprehension. Compared with the age of implantation, the duration of CI use was a significant mediator of language-related abilities.

Conclusion: In Mandarin-speaking children with late CIs, the duration of CI use is a more effective mediator of language development than the age of implantation.

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持续时间重要吗?人工耳蜗植入对普通话失聪儿童语言发育的影响。

目的:多项研究表明，人工耳蜗植入(CI)可影响重度至重度听力损失儿童的语言发育。然而，植入CI的年龄和持续时间是否会影响语言发展尚不清楚，特别是在说普通话的听力损失儿童中。因此，本研究探讨了ci相关变量对这些儿童语言发展的影响。方法:本研究从台湾一家非营利组织招募了133名说普通话的听力损失儿童，年龄在36至71个月之间。采用修订的学前语言评价量表(RPLA)对儿童的语言表现进行评价。结果:听力损失患儿表现为语言理解和口语表达迟缓。其中34%达到了与年龄相适应的语言发展。CI使用的持续时间对语言相关能力有显著的直接影响。相反，植入年龄没有显著的直接影响。此外，初始干预(听-说)的年龄仅对语言理解有显著的直接影响。与植入年龄相比，CI使用的持续时间是语言相关能力的重要中介。结论:汉语母语儿童CI晚期，CI使用时间是比植入年龄更有效的语言发展中介。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

COCHLEAR IMPLANTS INTERNATIONAL Medicine-Otorhinolaryngology

CiteScore

3.10

自引率

0.00%

发文量

期刊介绍： Cochlear Implants International was founded as an interdisciplinary, peer-reviewed journal in response to the growing number of publications in the field of cochlear implants. It was designed to meet a need to include scientific contributions from all the disciplines that are represented in cochlear implant teams: audiology, medicine and surgery, speech therapy and speech pathology, psychology, hearing therapy, radiology, pathology, engineering and acoustics, teaching, and communication. The aim was to found a truly interdisciplinary journal, representing the full breadth of the field of cochlear implantation.